Des Plaines Surgicare Inc

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

DES PLAINES SURGICARE INC

Practice address

8901 Golf Rd
Suite 204
Des Plaines, IL 60016-6850

Phone

(847) 296-5470

Fax

(847) 296-5474

NPI assigned

Aug 13, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Peter E Johnson, MDNPI 1316146442

Title

Owner

Phone

(847) 296-5470

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Peter Eric Johnson, M.D.

  • Plastic Surgery Physician
  • Des Plaines, IL
  • NPI 1316146442
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1186963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186963200000",
    "number": "1457543571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8901 GOLF RD",
            "address_2": "SUITE 204",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600166850",
            "telephone_number": "847-296-5470",
            "fax_number": "847-296-5474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8901 GOLF RD",
            "address_2": "SUITE 204",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600166850",
            "telephone_number": "847-296-5470",
            "fax_number": "847-296-5474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DES PLAINES SURGICARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-13",
        "last_updated": "2007-08-13",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-296-5470",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Des Plaines Eyecare Center LLC
• Des Plaines Family Dentistry, LLC
• Des Plaines Fire Department
• Des Plaines Medical Care LLC.
• Des Plaines Radiologists SC
• Bela D Desai, MD
• Roshni Desai, PTA
• Ashley Lucknise Descorbeth, FNP
• Doria L Devare, M.D.
• Jazmin A. Devitt, D.D.S

• All providers in Des Plaines, IL
• Ambulatory Surgical Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.